Florida Medical Clinic scores new contracts after using analytics

In the move from fee-for-service to value-based health care a number of organizations are missing the target. I have seen several very good health care groups miss out on substantial value-based contracts because they could not take on the risks. The solution is to manage the risks through the utilization of analytics. Florida Medical Clinic, […]
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Client-focused solution tracks and educational sessions take center stage at Optum Forum.

Maximizing investments and elevating organizational performance was the focus at Optum Forum Thursday as provider and health plan clients engaged with Optum experts and industry peers in solution focused tracks and educational sessions. Several sessions were led by clients who have implemented Optum solutions to better manage processes within their own organizations. Case studies, demos […]
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Inspiring change and transforming care around consumer needs resounding message from day two of Optum Forum

Two influential leaders visibly moved a packed audience of nearly 1,200 executives and professionals from organizations across the health care industry with their keynote addresses. After sharing personal stories of his background and professional experiences, General Colin L. Powell, USA (Ret.) talked about the power we have to transform not only ourselves but where we […]
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Debate and discovery drives first day of Optum Forum.

The first day of Optum Forum is in the books, but the dialogue it generated will certainly continue. In his opening remarks at the Executive Forum, Bill Miller, CEO of OptumInsight, emphasized that this week is about engagement and the opportunity to learn from each other. In its third year, Optum Forum continues to provide […]
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Transforming health care together: The 2015 Optum Forum starts today

Addressing the health care system’s most pressing challenges is the focus of the third annual Optum Forum, which begins today at the Gaylord National Resort and Convention Center in National Harbor, Maryland, on the banks of the Potomac River across from Washington, D.C. This innovative event merges two conferences, the Optum Executive Forum and the […]
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A saving grace? What the new grace period does and does not mean for ICD-10 unspecified coding

With the recent Centers for Medicare and Medicaid Services (CMS) announcement of a ‘grace period’ related to ICD-10 coding specificity for Part B physician claims, there is a spotlight on unspecified ICD-10 codes. But how much will HIM leaders need to worry about unspecified codes? According to a recent review of more than 30,000 dual-coded […]
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Analytics helps Cornerstone create Patient Advocate program

Gaps in care are a common affliction among health care organizations across the nation. I have seen it in otherwise good practices, both large and small, yet these groups somehow either overlook the problem or don’t know it exists. Cornerstone Health Care was suffering from “gaps in care,” that is patients who were not receiving […]
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Traumatic events happen: Know when to call your Employee Assistance Program

Calling your Employee Assistance Program (EAP) after a critical incident can make a huge difference in helping employees get back on their feet and minimizing workplace disruption. But do you always recognize such an incident when it’s happened? Some traumatic, or critical, events are obvious — fires, tornadoes, storms, workplace accidents. In other cases it […]
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Oncology issues and solutions: Establishing a comprehensive care strategy

While cancer continues to be one of the most common causes of death in the United States — exceeded only by heart disease — there is some good news. Prevention and early detection/treatment are improving five-year survival rates, with clinical care and treatment options advancing as more is understood about the disease. Complex care, complex […]
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Is your organization data rich but insight poor?

The good news: more than 80 percent of doctors have electronic health records (EHRs) and more than 90 percent of hospitals have EHRs. The not-so-good news: 30 percent of hospitals use a data mining or a warehousing tool, while 80 percent of EHR data is unstructured. There’s lots of data available, but what insights are […]
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